JILL ELIZABETH FONTANELLA

MIDDLETOWN, CT
NPI1366507972
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CT  004382)
Enumeration Date2006-12-26
Last Update Date2012-03-22
Business Address
JILL ELIZABETH FONTANELLA LCSW, LADC
79 MILL ST
MIDDLETOWN, CT 06457-4468
Phone number: 203-213-9078
Mailing Address
JILL ELIZABETH FONTANELLA LCSW, LADC
45 SHULER LN
DURHAM, CT 06422-3012
Phone number: 203-213-9078